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AN OVERVIEW OF UPDATES ON BREAST ULTRASOUND REPORTING IN A LOW-MIDDLE-INCOME COUNTRY Suwanto, Agnes Wanda; Nugroho, Rafiq Sulistyo; Farah Nurdiana
International Journal of Radiology and Imaging Vol. 4 No. 01 (2025): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2025.004.01.4

Abstract

BACKGROUND AND OBJECTIVE: Ultrasound plays an essential role in the initial assessment of breast cancer. This paper review the breast ultrasound report based on ACR BI-RADS 5th edition 2013, with additional information based on a related updated journal. METHOD: A literature review was followed while conducting this study with the keywords “BI-RADS Update”, “Breast Ultrasound”, and “Update Breast Ultrasound Report”. RESULT: Minimal progress has been made since ACR BI-RADS 5th edition. Meanwhile, the clinical applicability of breast ultrasound reporting could adapt to local policies as needed. CONCLUSION: The fifth BI-RADS  widely awaited version includes updates to the ultrasound. The revisions serve multiple key purposes: aligning terminology across imaging techniques such as mammography, ultrasound, and MRI; anticipating the growing use of supplementary screening methods and specialized technologies like automated breast ultrasound and elastography; and facilitating the transition toward more effective and efficient interpretation and reporting.
Addressing Portal Hypertension: Exploring the Crucial Role of Partial Splenic Embolization in Critical Situations Suwanto, Agnes Wanda; Amalia, Fini; NA, Achmad Bayhaqi
International Journal of Radiology and Imaging Vol. 2 No. 01 (2023): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2023.002.01.5

Abstract

Background: Esophageal varices are one of the most common symptoms of direct outcomes of portal hypertension besides ascites, hepatorenal syndrome, and hypersplenism. Nonselective beta-blockers or band ligation are currently the effective primary preventive options for variceal hemorrhage. The use of partial splenic arterial embolization for the management of variceal hemorrhage in patients with portal hypertension has been described in a small number of reports. Case Report: A girl, 6 y.o., was hospitalized with hematemesis with hypovolemic shock. Laboratory findings show anemia and thrombocytopenia. Radiology and endoscopy show grade III esophageal varices with hepatosplenomegaly. Because of the high risk of morbidity in surgical procedures, partial splenic embolization was performed to treat portal hypertension. Discussion: The combination of varices and a low platelet count puts these patients at high risk for catastrophic hemorrhage. Partial splenic embolization reduces splenic blood volume, resulting in a decrease in venous drainage and a reduction in portal venous flow and pressure. Conclusion: The use of partial splenic arterial embolization to manage variceal hemorrhage in patients with portal hypertension has been described. Embolization can be used alone or in combination with other therapies, like endoscopic ligation or retrograde transvenous variceal obliteration, to treat a variety of conditions. Keywords: Embolization, esophageal varices, splenomegaly, portal hypertension